SAMS WEST INC
Community/Retail Pharmacy · BULLHEAD CITY, AZ
Organization Active NPI 1316004799
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 301 | 960 | $68,756 | $67,381 | $67,381 |
| 2023 | 500 | 2,560 | $87,016 | $81,269 | $81,269 |
| 2022 | 755 | 4,673 | $143,265 | $133,886 | $133,886 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 280 | $18 | $18 |
| 90653 | Influenza vaccine, inactivated | 263 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 149 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 134 | $149 | $149 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 51 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 51 | $17 | $17 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 16 | $76 | $76 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 15 | $152 | $152 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | Y004332 | AZ |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.